Specific Phobia Clinical Trial
Official title:
The Impact of Stress on Exposure-based Treatment Outcome
This study investigates whether stress can augment exposure therapy outcome in patients with specific phobia (spider phobia).
Stress has been shown to modulate fear extinction. The present study is aimed at
investigating whether stress (administered prior to exposure with the socially evaluated cold
pressor test) augments exposure therapy outcome in patients with specific phobia (spider
phobia). Furthermore, the effects of stress on the generalization of exposure-induced symptom
reduction towards untreated fear stimuli (i.e. cockroaches) will be explored.
Participants are randomly assigned to the cold or warm water condition of the socially
evaluated cold pressor test (SECPT; Schwabe et al., 2008). Thereafter, participants of both
conditions receive 45 minutes of in-vivo exposure to spiders. The effects of stress on
exposure-based anxiety reductions toward spiders (treated fear stimulus) and cockroaches
(untreated fear stimulus to assess generalization of treatment outcome) are assessed on the
behavioral, subjective and physiological level at pretreatment, posttreatment (24 hours after
exposure) and follow-up (4 weeks after exposure).
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